| NPI | 1740016096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW COTTON Director Of Counseling 209-585-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 102L00000X Psychoanalyst | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |